Education

Personal References

Please provide the name of 3 non-work related persons, not related to you, whom you have known for at least one year.

Reference 1:

Name

Phone

Reference 2:

Name

Phone

Reference 3:

Name

Phone

Work References

Please provide the name of 3 work related persons, co-workers, managers, etc, you have worked with in the past.

Reference 1:

Name

Phone

Reference 2:

Name

Phone

Reference 3:

Name

Phone

Employment History

May we contact your previous employers?

Yes

No

Employer 1

Name

Street

City

State

Postal Code

Phone

Direct Supervisor

Starting Wage

Ending Wage

From

To

Position Held

Description of Responsibilities and Duties

Reason for leaving

Employer 2

Name

Address

City

State

Postal Code

Phone

Direct Supervisor

Starting Wage

Ending Wage

Start Date

End Date

Position Held

Description of Responsibilities and Duties

Reason for leaving

Employer 3

Name

Address

City

State

Postal Code

Phone

Direct Supervisor

Starting Wage

Ending Wage

Start Date

End Date

Position Held

Description of Responsibilities and Duties

Reason for leaving

Additional Experience

Additional related work experience not listed above

Do you have experience with the following equipment, tools, services, etc.? If yes please briefly explain.

Truck Plow

Yes

No

Skid Loader

Yes

No

Salter

Yes

No

Snow Blower

Yes

No

Commercial Mowers

Yes

No

Grading

Yes

No

Chain Saws

Yes

No

Tree Work

Yes

No

Hardscapes (Pavers,Walls,.etc)

Yes

No

Mechanical/Engine Repair

Yes

No

Pulling an Equipment Trailer

Yes

No

Dealing With Customers

Yes

No

Management Experience

Yes

No

Please describe your weaknesses or flaws with your work style

Please list any additional training, skills or trades you are experienced in

Please list any supervisory experience

Why do you want to be an Extra Mile Snow Fighter

Please describe the manner you work in while unsupervised

Please list any applicable licenses or certifications you currently hold

Background: Please list any criminal convictions

Please list any traffic violations (past 3 years)

Previous Addresses

Address #1

Street

City

State

Postal Code

Address #2

Street

City

State

Postal Code

Address #3

Street

City

State

Postal Code

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for immediate dismissal.

I authorize investigation of all statements contained, references and employers listed above to give Extra Mile Snow Plowing, LLC (EMS) any information concerning my previous employment, any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from the utilization of such information.

EMS is an employment-at-will employer and can terminate employment at any time with or without just cause. EMS reserves the right to change employees' compensation at any time, for any reason. EMS reserves the right to change the terms and conditions of employees' employment at any time.

Extra Mile Snow Plowing is a drug free workplace. All potential employees may be subject to pre-employment drug screening. EMS may for any justifiable reason give post employment drug screening if the need is seen. Despite all the legalities listed above, Extra Mile Snow Plowing LLC is a great place for a career where you will be treated with respect, dignity and your views/opinion will matter and be listened to.

By selecting the "Submit Applicaiton" button, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.